Spondylolisthesis Treatment
Expert Care for Spinal Instability
Spondylolisthesis occurs when a vertebra slips out of place. We offer advanced diagnostic and treatment options to stabilize your spine and relieve your pain.
What is Spondylolisthesis?
Spondylolisthesis is a spinal condition that affects the lower vertebrae (spinal bones). This disease causes one of the lower vertebrae to slip forward onto the bone directly beneath it. It's a painful condition but treatable in most cases.
The condition can cause both back pain and leg pain, as the slipped vertebra may press on the nerves exiting the spinal canal.
What Causes It?
Spondylolisthesis can have several causes, depending on the type:
- Degenerative: The most common type, caused by age-related wear and tear on the spinal joints and discs.
- Isthmic: Caused by a defect or stress fracture in a specific part of the vertebra (pars interarticularis). Common in young athletes.
- Congenital: Present at birth due to abnormal bone formation.
- Traumatic: Caused by a severe injury or trauma to the spine.
Diagnosis & Evaluation
Diagnosis typically involves a physical exam and imaging tests to assess the degree of slippage and identify any nerve compression.
- X-rays: Can clearly show if a vertebra has slipped forward. Standing and bending X-rays help evaluate spinal instability.
- MRI: Provides detailed images of the soft tissues, including nerves and discs, to see if they are being compressed.
- CT scan: Offers detailed cross-sectional images of the bones.
Treatment Options
Conservative Care
Treatment usually begins with conservative measures, especially for mild slippage:
- Rest and activity modification: Avoiding activities that exacerbate pain, such as heavy lifting or sports.
- Physical therapy: Exercises to strengthen the core and back muscles to help stabilize the spine.
- Medications: NSAIDs or pain relievers to reduce inflammation and discomfort.
- Bracing: A back brace may be recommended, especially for children or adolescents with isthmic spondylolisthesis.
Surgical & Minimally Invasive Options
Surgery may be recommended if conservative treatments fail, if the slippage is severe, or if there is significant nerve compression causing weakness or numbness.
- Spinal Decompression: Removing bone or tissue pressing on the nerves (often combined with fusion).
- Spinal Fusion: The most common surgery for spondylolisthesis. It fuses the slipped vertebra to the one below it to restore stability.
Frequently Asked Questions
Why Choose Dr. Bidiwala?
- Board-Certified Neurosurgeon
- Minimally Invasive Specialist
- 20+ Years Experience
- 15-year D Magazine Best Doctor
Common Symptoms
- Lower back pain, often worse with activity or standing
- Muscle tightness and stiffness in the lower back
- Pain radiating down the legs (sciatica)
- Numbness or tingling in the legs or feet
- Weakness in the legs
When to See a Specialist
Consult a spine specialist if you have:
- Persistent lower back pain that doesn't improve with rest
- Pain, numbness, or weakness radiating into your legs
- Difficulty walking or standing for extended periods
- Changes in bowel or bladder function (seek immediate care)
Ready to Find Relief?
Don't let spine pain control your life. Schedule a consultation to explore personalized treatment options tailored to your specific condition.